ANALYSIS OF QUALITY INDICATORS IN THE PREANALYTICAL PHASE OF LABORATORY DIAGNOSTICS AT THE CLINICAL DIAGNOSTIC LABORATORY OF THE «NATIONAL RESEARCH ONCOLOGY CENTER», ASTANA, KAZAKHSTAN
Background. The primary focus of the clinical diagnostic laboratory is to ensure the attainment of high-quality results for patient laboratory analyses.
Aim: This study aims to evaluate the effectiveness of employing quality indicators during the preanalytical phase in the "NROC LLP" laboratory through a comparative analysis of the first and second quarters of 2022. By examining this aspect, valuable insights can be gained to enhance the overall efficiency and reliability of laboratory procedures.
Results. The preanalytical phase encompasses a complex set of processes and actions that occur from the moment laboratory tests are prescribed to the initiation of analytical measurements (such as sample loading into analyzers, etc.). This stage involves not only laboratory staff but also the entire medical personnel of the departments. By implementing quality indicators during the preanalytical phase, the functioning of the procedural unit, blood sampling techniques, and proficiency in handling documentation can be assessed. Additionally, this study shed light on the organization of work within the laboratory during this stage. The research methods employed were derived from "Quality Indicators in Laboratory Medicine" proposed by the IFCC Working Group under the guidance of M. Plebani, as well as the current regulations of the Ministry of Health of the Republic of Kazakhstan.
Conclusions. Based on our research, quality indicators tend to improve when regular work is conducted with laboratory staff and the average medical personnel of our Center. Quality performance during this stage enables accurate diagnosis and facilitates appropriate patient treatment.
Nazym M. Yelemessova1, https://orcid.org/0009-0008-9804-7793
Gulzhan R. Kerimbekova1, https://orcid.org/0000-0001-9988-1351
Zaukiya K. Khamitova1, https://orcid.org/0000-0002-2409-5644
Akmaral K. Mussakhanova2, https://orcid.org/0000-0002-0399-5045
1 National Research Oncology Center, the Clinical Diagnostic Laboratory,
Astana, the Republic of Kazakhstan;
2 National Medical University Astana, Department of Public Health and Management,
Astana, the Republic of Kazakhstan.
1. Библиотека Всемирной Организации здравоохранения. Каталог публикуемых данных. Система управления качеством в лаборатории: справочник. ISBN 978 92 4 454827 1 (NLM classification: QY 25) ©, 2013, (http://www.who.int/about/licensing/copyright_form/en/index.html) (Дата обращения: 13.01 2023).
1. Alcantara T.Y., Rezgui R., Cruz, Ch.P., Alshammary M.H., Almotairi Ya.A., Alcantara Je.C., Alshaghdali Kh. "Detecting Preanalytical Errors Using Quality Indicators in a Hematology Laboratory" // Quality Management in Health Care. 31(3): p. 176-183, July / September 2022. DOI: 10.1097/QMH.0000000000000343 [accessed Feb 04 2023].
2. "Approval of Reporting Documentation Forms in the Healthcare Sector and Instructions for Their Completion." Order of the Acting Minister of Health of the Republic of Kazakhstan No. KR DSM-175/2020, dated October 30, 2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on November 4, 2020, No. 21579. https://adilet.zan.kz/rus/docs/V2000021579 (аccessed Jan 13 2023).
3. "Approval of Reporting Documentation Forms in the Healthcare Sector." Order of the Minister of Health of the Republic of Kazakhstan No. KR DSM-313/2020, dated December 22, 2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on December 23, 2020, No. 21879. https://adilet.zan.kz/rus/docs/V2000021879 (Accessed Jan 16 2023).
4. "Approval of the Standard for the Organization of Laboratory Diagnostics." Order of the Minister of Health of the Republic of Kazakhstan No. KR DSM-257/2020, dated December 11, 2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on December 14, 2020, No. 21768. https://adilet.zan.kz/rus/docs/V2000021768 (Accessed Jan 11 2023).
5. Emekli Dİ, Aslan D, Zorbozan N, Yakşi O, Tekten BÖ, Kilit AC, Aydemir E, Yasar MF, Demirci ZŞ, Çelik K, Eyyupkoca F. Evaluation of the performance of the pre-analytical phase of the testing process in medical laboratory accreditation. // Northwestern Medical Journal. 2022 May 1. https://www.researchgate.net/publication/303696909_Quality_Indicators_in_preanalytical_phase_for_continuous_quality_improvement_in_clinical_laboratories#fullTextFileContent (accessed Feb 04 2023).
6. Gisslén, Magnus, Veronica Svedhem, Lindborg L., Flamholc L., Norrgren H., Wendahl S., Axelsson M., Sönnerborg A.. "Sweden, the first country to achieve the Joint United Nations Programme on HIV/AIDS (UNAIDS)/World Health Organization (WHO) 90‐90‐90 continuum of HIV care targets" // HIV medicine 18, no. 4 (2017): 305-307. https://doi.org/10.1111/hiv.12431 Accessed Feb 06 2023.
7. Kazakov S.P., Suslova L.A. Development of pre-analytical quality assessment criteria for vacuum blood collection systems impacting clinical patient testing // Medical Immunology, 2020, Vol. 22, No. 3, pp. 585-598. doi: 10.15789/1563-0625-DOP-1920.
8. Lippi G., Betsou F., Cadamuro J., Cornes M., Fleischhacker M., Fruekilde P., Neumaier M., Nybo M., Padoan A., Plebani M., Sciacovelli L. Preanalytical challenges–time for solutions // Clinical Chemistry and Laboratory Medicine. 2019. 57(7), pp. 974-981.
9. Moussaoui M., Firsiwi K., Jbari B., El Morhit M. Quality analysis of the preanalytical phase of laboratory tests: Case of the civil hospital (Tetouan–Morocco) CHEMAO-ELFIHRI Wafa, Vol. 8(1), pp. 1-7, January 2017 DOI: 10.5897/JMLD2016.0131 [accessed Feb 04 2023].
10. Sciacovelli L., Lippi G., Sumarac Z., West Ja., del Pino Castro I-G., Furtado K., Ivanov A., Plebani M. Оn behalf of the Working Group “Laboratory Errors and Patient Safety” of International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) Quality Indicators in Laboratory Medicine: the status of the progress of IFCC Working Group “Laboratory Errors and Patient Safety” project, DOI 10.1515/cclm-2016-0929, Received October 13, 2016; accepted November 1, 2016; previously published online December 19, 2016.
References: [1]
1. Biblioteka Vsemirnoi Organizatsii zdravookhraneniya. Katalog publikuemykh dannykh. Sistema upravleniya kachestvom v laboratorii: spravochnik [Library of the World Health Organization. Catalog of published data. Laboratory Quality Management System: A Handbook]. ISBN 978 92 4 454827 1 (NLM classification: QY 25) ©, 2013, (http://www.who.int/about/licensing/copyright_form/en/index.html) (Accessed: 13.01.2023). [in Russian]
Number of Views: 60
Category of articles:
Original articles
Bibliography link
Yelemessova N.M., Kerimbekova G.R., Khamitova Z.K., Mussakhanova A.K. Analysis of Quality Indicators in the Preanalytical Phase of Laboratory Diagnostics at the Clinical Diagnostic Laboratory of the “National Research Oncology Center”, Astana, Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 3, pp. 80-85. doi 10.34689/SH.2023.25.3.010Related publications:
ANALYSIS OF CLINICAL AND DEMOGRAPHIC INDICATORS OF PATIENTS WITH PARKINSON'S DISEASE IN THE SOUTHERN REGION OF KAZAKHSTAN
A COMPARATIVE STUDY OF DRUG POLICY REGARDING ORPHAN DISEASES IN THE USA, THE EUROPEAN UNION, AND THE REPUBLIC OF KAZAKHSTAN
MUTATIONS IN CARDIAC ION CHANNEL GENES IN KAZAKHSTANI PATIENTS WITH LONG QT SYNDROME
GENETIC FEATURES OF CONGENITAL DYSFUNCTION OF THE ADRENAL CORTEX CAUSED BY 21-HYDROXYLASE DEFICIENCY IN PERSONS OF KAZAKH NATIONALITY
NON-MOTOR SYMPTOMS IN PARKINSON'S DISEASE USING THE EXAMPLE OF AKTOBE PATIENTS